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To evaluate the effectiveness of Pralidoxime, a drug used for treatment of pesticide poisoning (Organophosphorous poisonings)
The present study was designed to critically analyze the role of pralidoxime in patients with moderate to severe poisoning by dividing them into two comparable groups in all aspects and using WHO recommended dose of pralidoxime (30mg/kg bolus I.V over 20 min followed by 8mg/kg/hr continuous infusion). This dose and continuous infusion protocol is more likely to maintain adequate blood concentrations of pralidoxime throughout 24 hours and thus would avoid any failures in effectiveness of pralidoxime because of inconsistent blood levels.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | Placebo was given to compare the effects |
|
| Pralidoxime | Active Comparator | Pralidoxime for treating organophosphorous poisoning patients |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pralidoxime | Drug | Pralidoxime was compared to placebo to study the effects of the drug on mortatlity |
|
| Measure | Description | Time Frame |
|---|---|---|
| mortality rate | upto one year |
| Measure | Description | Time Frame |
|---|---|---|
| duration of ventilation | upto one year |
| Measure | Description | Time Frame |
|---|---|---|
| duration of ICU stay | upto one year |
Inclusion Criteria:
history of alleged organophosphorus intake age > 14 years < 60 years clinical signs and symptoms of organophosphorus poisoning.
Exclusion Criteria:
< 14 years or > 60 years of age known pregnancy pralidoxime administration at the transferring hospital carbamate poisoning any chronic illnesses
≥ 12 hour interval from time of poisoning to initiation of treatment pre-hospital cardiac or respiratory arrest.
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| Name | Affiliation | Role |
|---|---|---|
| Showkat Gurcoo, MD | SKIMS | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sheri kashmir insititute of medical sciences | Srinagar | Srinagar Kashmir | 190006 | India |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17706760 | Background | Eddleston M, Buckley NA, Eyer P, Dawson AH. Management of acute organophosphorus pesticide poisoning. Lancet. 2008 Feb 16;371(9612):597-607. doi: 10.1016/S0140-6736(07)61202-1. |
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| ID | Term |
|---|---|
| D003643 | Death |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C028797 | pralidoxime |
| D010091 | Oximes |
| ID | Term |
|---|---|
| D006898 | Hydroxylamines |
| D000588 | Amines |
| D009930 | Organic Chemicals |
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